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NCLEX: Cardiovascular, Hematologic, & Cancer Disorders Review

Taylor Humphrey
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Section 1

NCLEX: Cardiovascular, Hematologic, & Cancer Disorders Review

STUDY GUIDE

๐Ÿฉบ NCLEX - Study Guide

๐Ÿ“‹ Course Structure

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๐Ÿฅ Nursing โ”œโ”€โ”€ ๐Ÿ“– Chapter 1: Hypertension โ”‚ โ”œโ”€โ”€ ๐Ÿ”น Classification and Etiology of Hypertension โ”‚ โ”œโ”€โ”€ ๐Ÿ”น Pathophysiology and Risk Factors of Hypertension โ”‚ โ””โ”€โ”€ ๐Ÿ”น Interprofessional Care and Nursing Management of Hypertension โ”œโ”€โ”€ ๐Ÿ“– Chapter 2: Coronary Artery Disease (CAD) and Chronic Stable Angina โ”‚ โ”œโ”€โ”€ ๐Ÿ”น Development and Risk Factors of Coronary Artery Disease โ”‚ โ”œโ”€โ”€ ๐Ÿ”น Interprofessional Care and Management of Coronary Artery Disease โ”‚ โ””โ”€โ”€ ๐Ÿ”น Chronic Stable Angina: Assessment and Management โ”œโ”€โ”€ ๐Ÿ“– Chapter 3: Heart Failure โ”‚ โ”œโ”€โ”€ ๐Ÿ”น Types and Etiology of Heart Failure โ”‚ โ”œโ”€โ”€ ๐Ÿ”น Pathophysiology and Compensatory Mechanisms in Heart Failure โ”‚ โ””โ”€โ”€ ๐Ÿ”น Interprofessional Care and Nursing Management of Heart Failure โ”œโ”€โ”€ ๐Ÿ“– Chapter 4: Peripheral Artery Disease (PAD) and Chronic Venous Insufficiency (CVI) โ”‚ โ”œโ”€โ”€ ๐Ÿ”น Etiology, Pathophysiology, and Clinical Manifestations of Peripheral Artery Disease โ”‚ โ”œโ”€โ”€ ๐Ÿ”น Interprofessional Care and Management of Peripheral Artery Disease โ”‚ โ””โ”€โ”€ ๐Ÿ”น Chronic Venous Insufficiency: Pathophysiology and Management โ”œโ”€โ”€ ๐Ÿ“– Chapter 5: Venous Thromboembolism (VTE) โ”‚ โ”œโ”€โ”€ ๐Ÿ”น Virchow's Triad and Pathophysiology of Venous Thromboembolism โ”‚ โ”œโ”€โ”€ ๐Ÿ”น Clinical Manifestations and Diagnostic Studies for Venous Thromboembolism โ”‚ โ””โ”€โ”€ ๐Ÿ”น Interprofessional Care and Prevention of Venous Thromboembolism โ”œโ”€โ”€ ๐Ÿ“– Chapter 6: Anemia โ”‚ โ”œโ”€โ”€ ๐Ÿ”น Iron Deficiency Anemia: Causes and Manifestations โ”‚ โ”œโ”€โ”€ ๐Ÿ”น Megaloblastic Anemias: Cobalamin and Folic Acid Deficiency โ”‚ โ””โ”€โ”€ ๐Ÿ”น Nursing and Interprofessional Management of Anemia โ”œโ”€โ”€ ๐Ÿ“– Chapter 7: Hemophilia โ”‚ โ”œโ”€โ”€ ๐Ÿ”น Etiology and Clinical Manifestations of Hemophilia โ”‚ โ””โ”€โ”€ ๐Ÿ”น Nursing and Interprofessional Management of Hemophilia โ”œโ”€โ”€ ๐Ÿ“– Chapter 8: Cancer: General Concepts and Prevention โ”‚ โ”œโ”€โ”€ ๐Ÿ”น Definition and Classification of Cancer โ”‚ โ””โ”€โ”€ ๐Ÿ”น Cancer Prevention and Early Detection โ”œโ”€โ”€ ๐Ÿ“– Chapter 9: Cancer Treatment and Management of Side Effects โ”‚ โ”œโ”€โ”€ ๐Ÿ”น Cancer Treatment Modalities โ”‚ โ””โ”€โ”€ ๐Ÿ”น Chemotherapy and Radiation Therapy Effects and Management โ””โ”€โ”€ ๐Ÿ“– Chapter 10: Leukemia: Specific Concepts and Nursing Care โ”œโ”€โ”€ ๐Ÿ”น Chronic Myelogenous Leukemia (CML) and Chronic Lymphocytic Leukemia (CLL) Characteristics โ”œโ”€โ”€ ๐Ÿ”น Clinical Manifestations and Complications of Chronic Leukemias โ””โ”€โ”€ ๐Ÿ”น Interprofessional Care and Nursing Management of Chronic Leukemia
Section 2

๐Ÿ“– Chapter 1: Hypertension

What this chapter covers: This chapter covers the classification, etiology, pathophysiology, risk factors, clinical manifestations, diagnostic studies, and interprofessional care of hypertension. It emphasizes lifestyle modifications and medication management for blood pressure control and complication prevention.

๐Ÿฉบ Key Medical Concepts

Concept/TermDefinition/DescriptionClinical SignificanceKey Points
Primary HypertensionNo identifiable cause; linked to multiple risk factors.Accounts for 90-95% of hypertension cases.Also known as essential or idiopathic hypertension.
Secondary HypertensionHypertension with a specific, identifiable cause.Accounts for 5-10% of hypertension cases.Examples include renal artery stenosis and endocrine disorders.
DASH DietDietary Approaches to Stop Hypertension; emphasizes fruits, vegetables, low-fat dairy, and limited sodium.Effective in lowering blood pressure.Part of lifestyle modifications.

๐Ÿ”ฌ Multiple Choice Example

Question: A patient with a blood pressure of 160/90 mm Hg is diagnosed with Stage 2 hypertension. Which of the following interventions is most appropriate to initiate first? A) Start the patient on two antihypertensive medications. B) Educate the patient on lifestyle modifications, including diet and exercise. C) Order a renal ultrasound to rule out secondary hypertension. D) Immediately admit the patient to the hospital for close monitoring.

Answer: B Explanation: Lifestyle modifications are the first-line treatment for Stage 2 hypertension. Medications may be added if lifestyle changes are insufficient.

๐Ÿ“– Chapter 2: Coronary Artery Disease (CAD) and Chronic Stable Angina

What this chapter covers: This chapter explores coronary artery disease (CAD) and chronic stable angina, including their development, risk factors, clinical manifestations, diagnostic studies, and management. Emphasis is placed on risk factor modification, lifestyle changes, and medication management.

๐Ÿฉบ Key Medical Concepts

Concept/TermDefinition/DescriptionClinical SignificanceKey Points
AtherosclerosisPlaque buildup in the coronary arteries.Primary cause of CAD.Begins with endothelial injury.
Chronic Stable AnginaChest pain with exertion, relieved by rest or nitroglycerin.Predictable pattern of angina.Managed with rest and medication.
Lipid-Lowering DrugsMedications to reduce cholesterol levels.Reduce risk of CAD progression.Statins are a common example.

๐Ÿ”ฌ Multiple Choice Example

Question: A patient with chronic stable angina reports chest pain that is relieved by rest. The patient asks the nurse what causes the pain. Which response by the nurse is most accurate? A) The pain is caused by a spasm of the coronary artery. B) The pain is caused by a blood clot in the coronary artery. C) The pain is caused by a lack of oxygen supply to the heart muscle. D) The pain is caused by inflammation of the heart muscle.

Answer: C Explanation: Angina is caused by myocardial ischemia, resulting from an imbalance between oxygen supply and demand.

๐Ÿ“– Chapter 3: Heart Failure

What this chapter covers: This chapter provides an overview of heart failure (HF), including its types (HFrEF and HFpEF), etiology, pathophysiology, clinical manifestations, diagnostic studies, and interprofessional care. It emphasizes symptom management, complication prevention, and quality of life improvement.

๐Ÿฉบ Key Medical Concepts

Concept/TermDefinition/DescriptionClinical SignificanceKey Points
HFrEFHeart failure with reduced ejection fraction.Systolic heart failure.Characterized by a weak pump.
HFpEFHeart failure with preserved ejection fraction.Diastolic heart failure.Characterized by a stiff heart.
RAAS ActivationActivation of the renin-angiotensin-aldosterone system.Compensatory mechanism in HF.Leads to fluid retention.

๐Ÿ”ฌ Multiple Choice Example

Question: A patient with heart failure is prescribed an ACE inhibitor. The nurse understands that ACE inhibitors help heart failure by: A) Increasing the heart rate. B) Dilating blood vessels and decreasing afterload. C) Increasing the force of cardiac contraction. D) Reducing fluid volume by promoting diuresis.

Answer: B Explanation: ACE inhibitors block the conversion of angiotensin I to angiotensin II, leading to vasodilation and decreased afterload.

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